Individual
MARY T BESSENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
GRANDVIEW C 4, 13015 10TH ST, GRANDVIEW, MO 64030-2401
(816) 316-5047
(816) 316-5081
Mailing address
13015 10TH ST, GRANDVIEW, MO 64030-2401
(816) 316-5047
(816) 316-5081
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2003007904
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
478777105
—
MO
Enumeration date
02/22/2007
Last updated
02/19/2009
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